Report a Problem

Report a Problem

Please fill out this form if you have experienced a problem with a Cygnus Medical Product or Service. We apologize for any inconvenience this may have caused and please know that we are working to resolve your problem as quickly as possible.
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Date:

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CUSTOMER/FACILITY INFORMATION
Customer Name:*
Customer Email Address:*
Customer Phone Number:*
Customer/Facility Name & Address:*
PRODUCT INFORMATION
Product Name:*
Product Item Number:*
Product Lot Number:*
Quantity Affected:*
REASON FOR CONTACTING US
Please describe the problem:*
Please upload images of the product.

Browse Files
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Please upload the PO/invoice and any other supporting documentation.

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ADDITIONAL INFORMATION:
Submitter Name:*
Submitter Email Address:*
Submitter Phone Number:*
Thank you for your feedback. We are working to resolve your problem as quickly as possible. Your patience is greatly appreciated.
CONTACT CYGNUS MEDICAL:
965 West Main Street, Branford, CT 06405 | Fax: 203.764.1858
www.cygnusmedical.com | 800.990.7489
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